CentraCare Health Collaborative Care Institute Bridging the Gap Between Primary Care and Psychiatry March 1-3, 2019 Grand View Lodge Nisswa, Minnesota
Target Audience: This program is designed for primary care physicians, psychiatrists, residents, advanced practice providers, nurses, educational professionals and other mental health and health care professionals. Credits: CentraCare Health is accredited by the Minnesota Medical Association to provide continuing medical education for physicians. CentraCare Health designates this live activity for a maximum of 14.00 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. This education offering has been designed to meet the Minnesota Board of Nursing continuing education requirements for 14.00 contact hours. It is the personal responsibility of each participant to determine whether this activity meets the requirements for acceptable continuing education by the licensing organization. St. Cloud Hospital/CentraCare Health has been approved as a provider by the State of Minnesota Board of Social Work - CE Provider Approval Number CEP-77. Participants will earn 14.00 contact hours for the entire session. Acknowledgments: Thank you to the following planning committee members: Melissa Chapman, PA-C John Schmitz, MD Ryan Engdahl, PhD, LP Elizabeth Sikes, MD Larry Hook, MD This conference is supported in part by an educational grant from the CentraCare Health Foundation. Thank you to Dr. Hook for providing this year s brochure cover photo. 1
Faculty: Melissa Chapman, PA-C St. Cloud Hospital Behavioral Health Clinic Kelly Collins, MD St. Cloud Hospital Rehab Medicine Clinic Santo Cruz CentraCare Health Community and Government Relations Larry Hook, MD St. Cloud Hospital Behavioral Health Clinic Merryn Jolkovsky, MD St. Cloud Hospital Palliative Care Kristin McNutt, PA-C St. Cloud Hospital Behavioral Health Clinic Jennifer Miller, PhD CentraCare Sleep Center Troy Payne, MD, FAASM CentraCare Sleep Center Matt Peckskamp, PA-C St. Cloud Hospital Behavioral Health Clinic John Schmitz, MD St. Cloud Hospital Behavioral Health Clinic Elizabeth Sikes, MD St. Cloud Hospital Behavioral Health Clinic Bruce Sutor, MD Mayo Clinic Department of Psychiatry and Psychology Schedule: Friday, March 1, 2019 7:30-7:50 AM CHECK-IN 7:50-8:00 AM WELCOME & OPENING REMARKS 8:00-9:00 AM ASSESSMENT OF DEMENTIA Bruce Sutor, MD Understand the medical and psychiatric evaluation of patients with cognitive concerns. Distinguish between different dementia types and understand the importance of being able to do so. Be apprised of recent research findings and future directions in dementia care. 2
9:00-10:00 AM TO DRIVE OR NOT TO DRIVE Elizabeth Sikes, MD Know common conditions and medications that can impair driving. Know different community resources available when someone is suspected of being an unsafe driver. Be aware of the proper procedure for informing the patient and the DMV when someone is an unsafe driver. 10:00-10:15 AM BREAK 10:15-11:00 AM LEGAL CONSIDERATIONS AT END OF LIFE Santo Cruz Larry Hook, MD Understand the role of providers in discussions of decision making at end of life. Identify when a patient may need to have a conversation about proxy decision making. Provide a scope for their patients on the needs of decision-making power. 11:00-12:00 PM ELECTROCONVULSIVE THERAPY (ECT) IN THE ELDERLY POPULATION John Schmitz, MD Know the indications for ECT in the geriatric population. Understand the common adverse effects of ECT. Describe a treatment course. 12:00-1:00 PM LUNCH 3
1:00-2:00 PM MENTAL HEALTH SCREENING TOOLS FOR USE IN THE GERIATRIC POPULATION PART 1 Melissa Chapman, PA-C Kristen McNutt, PA-C Matt Peckskamp, PA-C Synthesize the research to discuss sensitivity and specificity of discussed screening tests. Discuss the indications for and method of administration of discussed screening tests. Understand how to interpret results of the scale and be aware of how to apply it clinically. 2:00-2:15 PM BREAK 2:15-3:15 PM THE ASSESSMENT AND MANAGEMENT OF BEHAVIORAL DISTURBANCES IN DEMENTIA Bruce Sutor, MD Be better prepared to assess behavioral problems in dementia. Understand the basic principles of behavioral plans in dementia care. Understand the role of psychotropic medications in managing difficult behaviors. 3:15-4:00 PM GERIATRIC PSYCHOPHARMACOLOGY PART 1 Elizabeth Sikes, MD Know how aging affects metabolism and distribution of medications. Know the preferred route of administration for medications in geriatric patients. 4
Saturday, March 2, 2019 7:50-8:00 AM ANNOUNCEMENTS 8:00-9:00 AM DEPRESSION IN THE ELDERLY Bruce Sutor, MD Better diagnose and manage depression in the elderly. Understand the role of medications and the medical co-morbidity when evaluating and managing depression in the elderly. Be aware of suicide statistics and risks in the elderly population. 9:00-10:00 AM WHOSE DECISION? ETHICAL ISSUES AT THE END OF LIFE Merryn Jolkovsky, MD Understand the legal framework supporting end of life decision making. Understand the ethical issues in end of life decision making. Articulate the ethical principles underlying medical decision making. 10:00-10:15 AM BREAK 10:15-10:45 AM TRANSCRANIAL MAGNETIC STIMULATION (TMS) John Schmitz, MD Know the indications and contraindications for TMS. Become familiar with the safety and adverse effects of TMS. Describe a treatment course of TMS. 5
10:45-11:30 AM SLEEP DISORDERS IN THE ELDERLY Troy Payne, MD, FAASM Understand the prevalence of insomnia, restless legs syndrome and sleep apnea in the elderly and treatment options. Understand REM Sleep Behavior Disorder and its association with Neurodegenerative Disease. Have a framework for discussing sleep in an office setting. 11:30-12:15 PM SLEEP PATTERNS AND INSOMNIA IN THE ELDERLY Jennifer Miller, PhD Understand normal changes in sleep patterns as we age. Understand precipitating and perpetuating factors for insomnia. Understand when to refer elderly patients for CBT-I. Sunday, March 3, 2019 7:50-8:00 AM ANNOUNCEMENTS 8:00-9:00 AM MENTAL HEALTH SCREENING TOOLS FOR USE IN THE GERIATRIC POPULATION PART 2 Larry Hook, MD Kristen McNutt PA-C Matt Peckskamp, PA-C Synthesize the research to discuss sensitivity and specificity of discussed screening tests. Discuss the indications for and method of administration of discussed screening tests. Understand how to interpret results of the scale and be aware of how to apply it clinically. 6
9:00-10:00 AM IT DOESN T JUST HAPPEN TO ATHLETES BRAIN INJURY IN THE ELDERLY Kelly Collins, MD Understand that elderly have the highest rate of brain injuries in the population. Understand common signs and symptoms of concussion. Understand why elderly are more at risk for brain injury. 10:00-10:15 AM BREAK 10:15-11:00 AM GERIATRIC PSYCHOPHARMACOLOGY PART 2 Elizabeth Sikes, MD Know common medications that require close monitoring in geriatric patients. Know common side effects of medications in geriatric patients. 11:00-11:45 AM QUIZ SHOW! CONFERENCE REVIEW Melissa Chapman, PA-C Larry Hook, MD Identify content from conference presentations. Identify lecturers and/or colleagues to reach out to when questions related to a conference topic arise. 11:45-12:00 PM CLOSING REMARKS 7
Registration: Prior to 01/31/19 After 01/31/19 Physicians $500 $600 Non-Physicians & Residents $350 $450 The registration fee includes course materials, CME credit, all breaks, and lunch on Friday. REGISTRATION DEADLINE/CANCELLATIONS Registration deadline is February 15, 2019. Refunds will be issued, less a $50 processing fee prior to this date. Lodging: Grand View Lodge offers a variety of accommodations overlooking Gull Lake. Please plan to stay on-site to take full advantage of networking opportunities with other conference participants and family members. Special conference rates are available by submitting the Grand View Lodge registration form at: https://grandviewlodge.formstack.com/forms/centracare19 The link to this form will be included in your confirmation letter. Deluxe lodging, daily breakfast, use of fitness center, indoor pool, and resort amenities are available to participants and family members staying onsite. Deadline for guaranteed lodging is January 31, 2019. Questions, call 218-963-8798. Special Accommodations: Please contact the Medical Staff Development Office if you have special mobility, dietary, vision, hearing or other needs. Phone: 320-255-5836 Email: stcloudhospitalcme@centracare.com 8
Registration Form: COLLABORATIVE CARE INSTITUTE MARCH 1-3, 2019 PARTICIPANT INFORMATION: (PLEASE PRINT) Participant Name: Title: MD DO PA NP Other: Name Badge (First, Last): Specialty: Office Name: Office Address: City: State: Zip: Phone: ( ) Cell Work Email: Will you be staying at Grand View Lodge? Yes No REGISTRATION FEES EARLY BIRD (PRIOR TO 01/31/19) Physicians ($500) Non-Physicians & Residents ($350) $ STANDARD RATE (AFTER 01/31/19) Physicians ($600) Non-Physicians & Residents ($450) $ REGISTRATION DEADLINE FEBRUARY 15, 2019 REFUNDS WILL NOT BE ISSUED AFTER THIS DATE PAYMENT OPTIONS: Check (Payable to St. Cloud Hospital CME) Credit Card Visa MasterCard Discover American Express Card Number: Expiration Date: / CVV Code: Cardholder s Name: Billing Address (as it appears on statement) : Mail to: Medical Staff Development Fax to: 320-255-5923 St. Cloud Hospital Email to: stcloudhospitalcme@centracare.com 1406 6th Ave. N. St. Cloud MN 56303 Questions: 320-255-5836 stcloudhospitalcme@centracare.com
The St. Cloud Hospital reserves the right to cancel or reschedule due to unforeseen circumstances. 10
Medical Staff Development St. Cloud Hospital 1406 Sixth Avenue North St. Cloud, MN 56303-1901